MR. MARK BLANCO, M.A., SR. LPE
Counselor - Professional
Active
Individual
NPI: 1174647226
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - Professional | 101YP2500X | Yes | PE0000011423 (TN) |
Frequently Asked Questions
NPI 1174647226 is the National Provider Identifier for MR. MARK BLANCO, M.A., SR. LPE, a Counselor - Professional provider located in La Vergne, TN. This NPI was enumerated on March 16, 2007.
MR. MARK BLANCO, M.A., SR. LPE practices at 1009 ASH CIR, La Vergne, TN 37086.
Quick Facts
- NPI
- 1174647226
- Type
- Individual
- Enumerated
- Mar 16, 2007
- Last Updated
- Jul 8, 2007
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